person
Dr. Nicholas Nelson Desantis, DPM
Foot & Ankle Surgery Podiatrist in San Diego, California
NPI 1053317545

Nicholas Nelson Desantis is a Foot & Ankle Surgery Podiatrist based in San Diego, CA and is specialized in Foot & Ankle Surgery. Nicholas Nelson Desantis practices in San Diego, CA and has the professional credentials of DPM. The NPI Number for Nicholas Nelson Desantis is 1053317545 and holds a License No. E2474 (California).

The current practice location address for Nicholas Nelson Desantis is 2306 6Th Ave, San Diego, CA and can be reached out via phone at 619-239-3286 and via fax at 619-239-0172. You can also correspond with Nicholas Nelson Desantis through the mailing address at 2306 6TH AVE, SAN DIEGO, CA - 92101-1643 (mailing address contact number: 619-239-3286).

Location: 2306 6Th Ave, San Diego, CA, 92101-1643
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Provider Profile Details
NPI Number
1053317545
Provider Name
Nicholas Nelson Desantis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2306 6Th Ave, San Diego, CA, 92101-1643
Phone Number
619-239-3286
Fax Number
619-239-0172
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000E24740 01 CA BLUE CROSS
000E24741 05 CA
institution
Provider Business Practice Location Address Details
Address
2306 6Th Ave
City
State
Zip
92101-1643
Phone Number
619-239-3286
Fax Number
619-239-0172
person
Provider Business Mailing Address Details
Address
2306 6Th Ave
City
State
Zip
92101-1643
Phone Number
619-239-3286
Fax Number
619-239-0172
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E2474 (California)
Definition
Definition to come...
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